Battle Buddy Appointment Request
Request a Battle Buddy to accompany you to your appointment. A coordinator will review your request and follow up with next steps.
Please read: Submitting this request does not guarantee volunteer availability. A coordinator will review your request and follow up with you about next steps.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Branch of Service
*
Please Select
Army
Navy
Air Force
Marines
Coast Guard
Space Force
Other
Years of Service
Preferred Appointment Date and Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Appointment Location (Address or Facility Name)
*
Type of Support Requested
*
Transportation to/from appointment
Companionship during appointment
Assistance with paperwork
Emotional support
Other
Accessibility or Safety Considerations
Additional Comments or Information
Submit Request
Should be Empty: